Zochepa zomwe zimayambitsa ululu wa m'mimba nthawi zambiri zimakhala zochepa. Komabe, kupweteka kungakhale kolimba kwambiri, mwachitsanzo, ndi dysmenorrhea - vuto lopweteka lomwe limapezeka ndi chifuwa cha chiberekero pa nthawi ya kusamba. Zina zomwe zimayambitsa matenda opweteka kwambiri a m'mimba ndi matenda a kutupa thupi, ectopic pregnancy ndi endometriosis.
Zina zomwe zimayambitsa ululu
Matenda a anus ndi rectum angakhalenso chifukwa cha ululu wa m'mimba ndipo nthawi zambiri amamva m'munsi kumbuyo. Nthawi zambiri, ululu wamkati ukhoza kukhala ndi matenda monga uterine myoma, appendicitis, matumbo a m'mimba kapena chikhodzodzo, ndi khansa ya ziwalo za m'mimba. Ngati ululu sukuima kwa nthawi yaitali, muyenera kuwona dokotala. Matenda opweteka a m'mimba (PID) amakhalanso kutupa kwa chiberekero, mazira ndi mazira ambiri chifukwa cha matenda. Chifukwa chofala kwambiri cha matendawa ndi chlamydia, matenda opatsirana pogonana omwe amapezeka mu 50-80% a PID. Zina mwazinthu zomwe zimayambitsa matendawa zimakhala ndi matendawa komanso matenda ophera anaerobic. PID ikhoza kuchitika mwadzidzidzi kapena chifukwa cha kuchitidwa opaleshoni m'mimba mwachisawawa kapena pambuyo poyambitsa chipangizo cha intrauterine (IUD). Pachifukwachi, matendawa amapezeka kawirikawiri pokhala ndi matenda osokoneza bongo.
Zizindikiro
Nthawi zambiri ululu umakhala kwa maola angapo, ndipo amapezeka m'madera omwe ali m'munsi ndi m'mimba komanso m'mapirubic. Nthawi zina zimakhala zolimba kwambiri komanso zowonjezereka panthawi yogonana. Zowawa zimawoneka ndi kuyenda mwadzidzidzi ndi kuchepa ngati mkazi akugona kapena akukhala mwakachetechete. Zizindikiro zina zimaphatikizapo kupweteka pakutha ndi malungo. Nthawi zina ululu ndi wowawa kwambiri moti mkazi sangathe kusunthira ndipo amamva chisoni, koma milandu yoteroyo ndi yochepa; Nthawi zambiri ululu ndi wofatsa.
Zosokoneza
Popeza palibe tsatanetsatane yeniyeni yomwe imatsimikizira kuti PID ya mkaziyo, matendawa akuchokera pa zotsatira za kufufuza kwakukulu. Makamaka zizindikiro zamtundu wa chiberekero ndi mawere a m'mimba (matumbo a m'mimba mwa chiberekero) ndi kugonana kwa amayi.
Chithandizo
Pa milandu yoopsa, chithandizo kuchipatala chokhala ndi maantibayotiki omwe amachitidwa mwachangu amafunika. Nthawi zina, mankhwala amatha kunja-wodwalayo, ndi mankhwala opha tizilombo omwe amachitidwa mkati. Amayi ambiri omwe amawaganizira kuti ndi a PID ayenera kupitilira chlamydia, komanso kuti apite ku chipatala cha urogenital. M'makliniki oterewa, madokotala adzaperekedwa osati kungoyang'aniridwa ndi chlamydia, koma komanso ngati kuli koyenera kuti adziwe mankhwala ophera antibiotic kumapeto kwa mimba kapena kutayika kwa mankhwala. Ectopic mimba imapangitsa kuti dzira la feteleza libale kunja kwa chiberekero, nthawi zambiri mu khola lamagulu. Izi zikhoza kuchitika chifukwa cha kuphulika kwa mazira, omwe nthawi zambiri amayamba chifukwa cha matenda a chlamydial. Patadutsa milungu 2-4 pambuyo pa umuna, chiberekero chimatha, limodzi ndi ululu wowawa komanso magazi.
Zizindikiro
Nthawi zambiri ululu umapezeka mwadzidzidzi ndipo umapezeka m'mimba pamunsi, kumanja kapena kumanzere. Ululu ukhoza kukhala wamphamvu kwambiri kuti mkazi sangayende ngakhale. Komabe, nthawi zina zizindikiro zimakhala zosamvetsetseka kuti zimanyenga onse adokotala ndi mkazi yemwe sangathe kunena zomwe zimamuvutitsa. Ngati pali kutuluka kwa magazi mkati, wodwalayo amawoneka wotumbululuka, amamva kuti ali wofooka komanso wamadzimadzi ndipo akhoza kufooka pamene akuyesera kuimirira. Monga lamulo, zokambiranazo zimasonyeza kuti mayi ali ndi nthawi yochedwa kapena yachilendo ya msambo, kuwonjezera apo, amatha kumva zizindikiro zenizeni za mimba yoyambirira. Komabe, nthawi zina ectopic mimba ikhoza kudziwonetsera yokha isanafike nthawi ya msambo wina.
Zosokoneza
Mukayezetsa amayi, kawirikawiri dokotala amamva kupweteka m'mabedi a chikazi (m'mimba yomwe ili pafupi ndi chiberekero) kumbali yomwe wodwala akumva ululu. Chizindikiro china chikhoza kukhala kuwonjezeka kwa kukula kwa khola lamagulu, lomwe lingatsimikizidwe ndi ultrasound. Kuyezetsa mimba nthawi zambiri kumakhala kolimbikitsa.
Chithandizo
Ectopic mimba imakhala ndi zofunikira, chifukwa ndizowopseza moyo. Nthaŵi zambiri, opaleshoni yotseguka kapena laparoscopy imachitidwa. Nthawi zambiri, mankhwala amangokwanira ku jekeseni wa mankhwalawa.